NPI | 1053815241 |
---|---|
Former Name | BRITTANY SHEA CORNFIELD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: OR MD203781) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2018-03-21 |
Last Update Date | 2021-05-11 |